NPIMap

Organization Active NPI

Community Surgical Supply of Toms River, LLC

  • Home Infusion Therapy Pharmacy
  • Toms River, NJ
National Provider Identifier
1790826105
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
28RS00625900 Issued in NJ
Legal business name
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, LLC
Doing business as
AdaptHealth NJ
Practice address
1390 Route 37 W
Suite 1
Toms River, NJ 08754-4924
Phone
(732) 349-2990
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Russalesi
Title
Chief Compliance Officer
Phone
(842) 469-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 28RS00625900 NJ Primary

Addresses

Primary practice location

1390 Route 37 W
Suite 1
Toms River, NJ 08754-4924

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 630-6357

Other identifiers 1

IdentifierTypeStateIssuer
3145439OtherNJNCPDP

Other names 1

  • AdaptHealth NJ Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Surgical Supply17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2400 Main St
Sayreville, NJ 08872

1390 Route 37 W
Toms River, NJ 08755
Phone (732) 349-2990

1390 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 349-2990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1790826105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437",
            "telephone_number": "610-630-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 ROUTE 37 W",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544924",
            "telephone_number": "732-349-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "842-469-4994"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NJ",
            "license": "28RS00625900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3145439",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdaptHealth NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.